WESTCHESTER-ELLENVILLE HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WESTCHESTER-ELLENVILLE HOSPITAL INC (EIN 13-4111638)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201823199349301677
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T08:49:05-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134111638 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 8456476400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB RUE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8456476400 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-15 | IPDt |
| IP Tm | 08:49:02 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLENVILLE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN KELLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,298,598 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELLENVILLEREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ELLENVILLE REGIONAL HOSPITAL PROVIDES EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES. THIS HEALTH CARE IS DELIVERED WITH COMPASSION AND RESPECT BASED ON OUR COMMITMENT TO IMPROVING OUR COMMUNITY HEALTH THROUGH EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 251 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,513,017 | PYContributionsGrantsAmt |
| CY Contributions Grants | $842,446 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,551,997 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,089,423 | CYProgramServiceRevenueAmt |
| PY Investment Income | $129,101 | PYInvestmentIncomeAmt |
| CY Investment Income | $133,158 | CYInvestmentIncomeAmt |
| PY Other Revenue | $151,238 | PYOtherRevenueAmt |
| CY Other Revenue | $319,355 | CYOtherRevenueAmt |
| PY Total Revenue | $19,345,353 | PYTotalRevenueAmt |
| CY Total Revenue | $19,384,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,820,315 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,338,698 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,925,133 | PYOtherExpensesAmt |
| CY Other Expenses | $7,484,054 | CYOtherExpensesAmt |
| PY Total Expenses | $17,745,448 | PYTotalExpensesAmt |
| CY Total Expenses | $18,822,752 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,599,905 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $561,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,235,909 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,928,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,325,714 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,892,792 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,910,195 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,035,513 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ELLENVILLE REGIONAL HOSPITAL PROVIDES EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES. THIS HEALTH CARE IS DELIVERED WITH COMPASSION AND RESPECT BASED ON OUR COMMITMENT TO IMPROVING OUR COMMUNITY HEALTH THROUGH EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,214,862 | ExpenseAmt |
| Revenue | $3,709,212 | RevenueAmt |
| Desc | IN-PATIENT DEPARTMENTS (MED/SURG AND SWING REHAB) & AMBULATORY SURGERY (OR): THE HOSPITAL AND OUR FOUNDATION CONTINUE TO SUPPORT OUR STAFF WITH TUITION ASSISTANCE AND REIMBURSEMENT FOR EDUCATIONAL IN-SERVICES. ONE OF OUR FULL TIME NURSES RECEIVED ASSISTANCE TO PURSUE HIS BSN WHILE ANOTHER STAFF MEMBER WHO RECEIVED ASSISTANCE IN 2016 COMPLETED HIS NURSING DEGREE AT SUNY ORANGE IN MAY 2017, AND HAS SINCE JOINED OUR ELITE GROUP OF NURSES. IN ADDITION, ONE OF OUR EMERGENCY DEPARTMENT PATIENT CARE TECHNICIANS RECEIVED TUITION ASSISTANCE TO COMPLETE HER CERTIFIED NURSE ASSISTANT CERTIFICATION. (SEE CONTINUATION ON SCHEDULE O)OUR SWING REHABILITATION UNIT IS A MULTIDISCIPLINARY TEAM MADE UP OF NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, SOCIALIZATION ACTIVITIES AND A REGISTERED DIETITIAN. MAINTAINING A CULTURE THAT PRIDES ON PATIENT SAFETY CONTINUES TO BE A PARAMOUNT FOCUS IN OUR FACILITY. OUR SAFE PATIENT HANDLING COMMITTEE CONTINUES STRONG AND INCLUDES MEMBERS OF OUR NURSING, REHAB, RADIOLOGY, QUALITY AND FACILITIES STAFF WITH EMPHASIS ON MAINTAINING SAFE TRANSFER PRACTICES AND PROPER USE OF TRANSFERRING EQUIPMENT. THE COMMITTEE HELD MANDATORY SAFE PATIENT HANDLING TRAINING IN 2017. THIS TRAINING WAS REQUIRED FOR ALL CLINICAL NURSING, PT, AND RADIOLOGY STAFF.THE INPATIENT-NURSING DEPARTMENT CONTINUED TO HOST AND MENTOR REGISTERED NURSING STUDENTS FROM SULLIVAN COUNTY COMMUNITY COLLEGE AND NEW VISIONS STUDENTS FROM LOCAL HIGH SCHOOLS. ELLENVILLE REGIONAL HOSPITAL CONTINUES TO HOLD HIGH STANDARDS FOR OUR CLINICAL STAFF: 100% OF OUR IN-PATIENT REGISTERED NURSES ARE CERTIFIED IN BASIC AND ADVANCED LIFE SUPPORT THROUGH THE AMERICAN HEART ASSOCIATION AND ARE TELEMETRY CERTIFIED. AS IN PREVIOUS YEARS OUR NURSE EDUCATOR PROVIDED EDUCATIONAL AND INFORMATIVE IN-SERVICES TO ENSURE OUR CLINICAL STAFF IS KNOWLEDGEABLE ON CURRENT TRENDS AND STANDARDS OF CARE. OUR NURSES ARE NOW CREDENTIALED IN THE NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS) ADMINISTRATION. HEALTH CARE PROVIDERS UTILIZE THIS TOOL AS WELL, OBJECTIVELY QUANTIFYING THE IMPAIRMENT CAUSED BY A STROKE. FOR OUR NEW HIRES, WE PROVIDE A RIGOROUS AND ROBUST ORIENTATION SERIES. ANNUALLY, OUR NURSING LEADERSHIP JOINS FORCES WITH OUR NURSE EDUCATOR AND DIRECTOR OF PHARMACY TO PUT TOGETHER MULTIPLE MANDATORY NURSE EDUCATION SESSIONS. THE SWING BED UNIT CONTINUES TO SERVE OUR INPATIENT SUB-ACUTE REHABILITATION PATIENTS. THE GOAL OF THIS REHAB MODEL IS TO HAVE PATIENTS RETURN TO HOME RATHER THAT TRANSFERRING TO LONG-TERM CARE FACILITIES. THE 2016 LEFT VENTRICULAR ASSIST DEVICE (LVAD) PROGRAM DEVELOPED IN COLLABORATION WITH WESTCHESTER MEDICAL CENTER CONTINUES STRONG. IN 2017 WE HAD FOUR PATIENTS IN OUR SWING UNIT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,772,750 | ExpenseAmt |
| Revenue | $4,573,682 | RevenueAmt |
| Desc | EMERGENCY DEPARTMENT:IN 2017, INNOVATION AND COLLABORATION WERE UNQUESTIONABLY THE DRIVING FORCES FOR OUR COHESIVE AND ACCOMPLISHED TEAM. THE EMERGENCY DEPARTMENT TREATED 12,994 PATIENTS. WE CONTINUE TO MAINTAIN HIGH STANDARDS FOR OUR CLINICAL STAFF WITH A CLEAR FOCUS ON STELLAR PERFORMANCE, CUSTOMER SERVICE AND COMPETENCY. WE STRIVE TO DELIVER THE HIGHEST QUALITY CARE AND BELIEVE THIS IS NECESSARY IN ORDER TO ACHIEVE THE BEST POSSIBLE OUTCOMES. OUR DEDICATED ED TEAM HAS EXECUTED CONSISTENTLY YEAR AFTER YEAR, FOR ABOUT A DECADE, DELIVERING UNREMARKABLE TURNAROUND TIMES OF AROUND 112 MINUTES. IT IS ONLY FAIR TO POINT OUT, ONCE AGAIN, THAT THIS IS FAR LESS THAN THE NATIONAL AVERAGE OF 4 HOURS AND 7 MINUTES. (SEE CONTINUATION ON SCHEDULE O)IT IS NO SECRET THAT PATIENT OUTCOMES ARE POSITIVELY IMPACTED WHEN EVALUATION AND TREATMENT ARE DELIVERED PROMPTLY. DELIVERING QUALITY EMERGENCY CARE IN A RURAL SETTING CAN BE A CHALLENGING TASK. MAINTAINING STAFF APTITUDE AND COMPETENCY IS A HIGH PRIORITY; THEREFORE, 100% OF OUR REGISTERED NURSES ARE CREDENTIALED IN BASIC, ADVANCED ADULT AND PEDIATRIC LIFE SUPPORT THROUGH THE AMERICAN HEART ASSOCIATION. THEY ARE ALSO CERTIFIED IN TELEMETRY BY AN AMERICAN HEART ASSOCIATION ACCREDITED TRAINER. MANY OF OUR ED RNS ARE ALSO CERTIFIED IN TRAUMA NURSING AND EMERGENCY PEDIATRIC CARE THROUGH THE EMERGENCY NURSES' ASSOCIATION. IN 2017, OUR MODEL FOR FULL TIME LPNS IN THE ED HAS ADDED SUPPORT TO OUR NIGHT RNS WHICH YIELD HIGHER STAFF AND PATIENT SATISFACTION. OUR WELL-TRAINED LPNS MANAGE MEDICATION ADMINISTRATION, SPLINTING, AND CLERICAL TASKS, SUCH AS DATA GATHERING FOR PI AND QA PROJECTS. 2017 WAS A YEAR OF GREAT CELEBRATION AS ONCE AGAIN THE ULSTER COUNTY EMERGENCY MEDICAL SERVICES COMMITTEE RECOGNIZED ONE OF OUR FULL TIME RNS AS THE EMERGENCY NURSE OF THE YEAR WHILE ONE OF OUR ED PHYSICIAN ASSISTANTS WAS NAMED EMERGENCY PROVIDER OF THE YEAR. OVERALL 2017 WAS A YEAR OF OUTSTANDING COLLABORATION. OUR ED TEAM ENGAGED IN THREE SIGNIFICANT COLLABORATIVE VENTURES. FIRST, THE MAX (MEDICAID ACCELERATED EXCHANGE) SERIES PROGRAM. THE SUCCESS OF OUR MAX (MEDICAID ACCELERATED EXCHANGE) SERIES PROGRAM FOR THE WMCHEALTH PPS DSRIP AND THE CONTINUED PARTNERSHIP BETWEEN ERH (ELLENVILLE REGIONAL HOSPITAL) AND THE INSTITUTE FOR FAMILY HEALTH THAT WAS INITIATED IN 2016 CONTINUED TO YIELD TREMENDOUS RESULTS IN 2017. THIS GROUNDBREAKING, INNOVATIVE AND OPPORTUNE VENTURE CONTRIBUTED TO MEASURABLE CHANGES IN PRESCRIBING PATTERNS FOR OPIOIDS IN THE EMERGENCY DEPARTMENT. IT ALSO ALLOWED AN OPPORTUNITY TO IDENTIFY EMERGENCY DEPARTMENT DRIVERS OF UTILIZATION SUCH AS ADDICTION, PSYCHOLOGICAL AND SOCIOECONOMIC ISSUES. THE ERH MAX PROJECT HAS TRULY SERVED AS A MODEL FOR OTHER FACILITIES TO FOLLOW. IT HELPED CREATE INSTITUTIONAL MEMORY OF HIGH ED UTILIZERS AS HIGH-RISK, HIGH-COST PATIENTS, FACILITATING FOLLOW UP, AND ULTIMATELY CONNECTING PATIENTS TO COMMUNITY SERVICES RATHER THAN JUST FOCUSING IN THE TRADITIONAL AND INEFFECTIVE "TREAT AND RELEASE" MENTALITY. ON OCTOBER 20, 2017, OUR CHIEF OPERATING OFFICER AND THE ED MANAGER HAD A CHANCE TO PRESENT THE MAX PROJECT AND ITS RESULTS IN THE IEXCELLUS HOSPITAL QUALITY ALLIANCE (HQA) MEETING. SECONDLY, OUR EMERGENCY DEPARTMENT (ED) JOINED FORCES WITH THE AMERICAN HEART ASSOCIATION (AHA) IN THE MISSION LIFE LINE INITIATIVE TO IMPROVE CARE OF PATIENTS WITH MYOCARDIAL INFARCTIONS. AS PART OF THE INITIATIVE, WE BEGAN DATA COLLECTION, PARTICIPATED IN CALLS WITH EMERGENCY MEDICAL SERVICES (EMS), FIRST RESPONDER AGENCIES AND NEIGHBORING HOSPITALS. THE EMPHASIS WAS ON SAVING LIVES BY STREAMLINING AND EXPEDITING CARE ACCORDING TO AHA GUIDELINES. EARLY IDENTIFICATION OF THE PATIENT EXPERIENCING AN ACUTE MYOCARDIAL INFARCTION (AMI) WAS A KEY ELEMENT. IN ORDER TO ACHIEVE THIS GOAL, WE ADOPTED AND IMPLEMENTED THE AHA RAPID ELECTROCARDIOGRAM CRITERIA AND EDUCATED OUR STAFF AS TO HOW TO APPLY IT. THE SECOND GOAL WAS TIMELY TRANSFERS OF PATIENTS TO TERTIARY FACILITIES (SPECIFICALLY TO FACILITIES DESIGNATED AS CARDIAC CAUTERIZATION CENTERS). TO MEET THIS OBJECTIVE, WE BEGAN TO UTILIZE THE SIGNAL 9 CODE FOR GROUND TRANSFER OR THE INTERFACILITY - AUTO - LAUNCH ALERT FOR AIR TRANSPORT WHEN APPROPRIATE. IN 2017 WE TRANSFERRED CLOSE TO 5 % OF OUR PATIENTS AND OVER ONE THIRD OF THESE CASES HAD SOME TYPE OF CARDIOVASCULAR UNDERLYING COMPONENT TO IT. IT IS EVIDENT THAT THIS COLLABORATIVE EFFORT TOUCHED A SIGNIFICANT NUMBER OF LIVES IN OUR SMALL COMMUNITY.IN OUR THIRD UNDERTAKING THE EMERGENCY DEPARTMENT TEAM, LED BY OUR MEDICAL DIRECTOR, PARTICIPATED IN THE ENVISION BREAKTHROUGH SERIES, THIS TIME JOINING FORCES WITH EMA (EMERGENCY MEDICAL ASSOCIATES) AND 20 OTHER EMERGENCY DEPARTMENTS TEAMS FROM ACROSS THE COUNTRY. THE FOCUS OF THE SERIES WAS TO STREAMLINE ED THROUGHPUT. THE SERIES CONSISTED OF THREE CONSECUTIVE SEMINARS (EACH A FEW MONTHS APART) WITH A FORMAT OF LECTURES AND ACTION GROUPS. PROJECTS FOR IMPROVING WORKFLOWS WERE DEVELOPED AND IMPLEMENTED. IN THE CLOSING AND FINAL WORKSHOP, THE ERH TEAM WAS ASKED TO PRESENT THE RESULTS OF OUR PROJECT. OUR DATA DEMONSTRATED THAT STAFF EDUCATION AND MINOR ADJUSTMENTS IN TRIAGE MANAGEMENT WERE EFFECTIVE MEASURES IN ACHIEVING OUR GOAL OF IMPROVING DOOR TO EKG TIMES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,213,023 | ExpenseAmt |
| Revenue | $5,456,060 | RevenueAmt |
| Desc | RADIOLOGY:IN 2017, RADIOLOGY MADE SOME MAJOR ENHANCEMENTS TO EXISTING TECHNOLOGIES. WE RETIRED ALL OF OUR OUTDATED CR EQUIPMENT AND MOVED TO A 100% DIGITAL IMAGING DEPARTMENT. THIS ENSURES THAT WE ARE UTILIZING THE BEST TECHNOLOGY AND PERFORMING THE HIGHEST QUALITY IMAGING AT THE LOWEST POSSIBLE DOSE.IN 2017, WE PERFORMED NEARLY 15,000 EXAMS. WE HAD OUTSTANDING GAINS IN OP ULTRASOUND EXAMS AND CONTINUED THE GROWTH IN CT CONTRAST STUDY VOLUME. WE MADE PARTICULAR GAINS IN CTS FOR PULMONARY EMBOLI. (SEE CONTINUATION ON SCHEDULE O)WORKING WITH THE RADIOLOGISTS, WE HAVE BECOME COMFORTABLE WITH THESE COMPLEX EXAMS AND ARE ROUTINELY PERFORMING THEM WITH HIGH QUALITY RESULTS.WE HAD SOME CHALLENGES WITH THE MAMMOGRAPHY PROGRAM IN 2017. WE HAD SOME DIFFICULTY MEETING THE STANDARDS OF THE ACR AND DETERMINED THAT WE NEEDED TO REVAMP THE PROGRAM. WE STARTED BY RESEARCHING EQUIPMENT AND TECHNOLOGY. WE MADE THE DECISION TO GO WITH A MORE EXPENSIVE, BUT DEFINITIVELY SUPERIOR PRODUCT AND PURCHASED A HOLOGIC SELENIA DIMENSION 3D MAMMOGRAPHY UNIT CAPABLE OF PERFORMING 3D BREAST TOMOSYNTHESIS AND OFFERING SIGNIFICANT ADVANTAGES IN DIAGNOSIS. WE ALSO MADE A DECISION TO PERFORM THE MOST COMFORTABLE EXAM POSSIBLE AND COMMITTED TO OFFERING EVERY PATIENT A PADDED MAMMOGRAM THAT REDUCES PAIN AND INCREASES THE QUALITY OF THE EXAM.OUR ULTRASOUND AND CARDIOLOGY PROGRAMS CONTINUE TO PROGRESS. WE ARE SEEING SIGNIFICANT GAINS IN US NUMBERS AND MOST ESPECIALLY IN OUTPATIENT PROCEDURES. WE LOST AN ULTRASOUND TECHNOLOGIST WHO ALSO PERFORMED ECHOCARDIOGRAPHY AND WERE FACED WITH SOME TOUGH DECISIONS. IN THE END, WITH MUCH SCRUTINY, WE DECIDED TO REDUCE SOME COST BY ELIMINATING ON-CALL FOR ULTRASOUND AND HIRING A SPECIALIZED ECHO TECHNOLOGIST. WE ARE LOOKING TO PUSH THE CARDIOLOGY PROGRAM AHEAD, PERFORM NEW AND BETTER EXAMS AND INCREASE VOLUME. BY THE END OF 2017, WE WERE SEEING GAINS IN VOLUME, MORE RAPID TURNAROUND TIMES AND WERE LOOKING INTO NEW TECHNOLOGIES THAT WE MAY BE ABLE TO EXPLORE IN 2018.WE PUT IN A GREAT DEAL OF WORK TO STREAMLINE OUT "STROKE PROTOCOL". WORKING WITH THE ER, WE LOOK TO A GOAL OF 45 MINUTES FROM ARRIVAL TO REPORT FOR ALL STROKE RELATED CTS OF THE HEAD WITHOUT CONTRAST. WE ARE WORKING WITH A NUMBER OF RESOURCES TO SERVE PATIENTS IN OUR COMMUNITY WHO SUFFER STROKE OR STROKE LIKE SYMPTOMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,056,267 | ExpenseAmt |
| Revenue | $4,350,469 | RevenueAmt |
| Desc | THE HOSPITAL ALSO PROVIDES AMBULATORY SURGERY, LAB SERVICES, IV THERAPY, PHYSICAL THERAPY, CARDIAC REHAB, AND PRESCRIPTION DRUGS TO OUR PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,056,267 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,350,469 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $15,256,902 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 251 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB RUE CFO | PersonNm |
| Phone | 8456476400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| REVEREND JULIUS COLLINS | ||||||||
| CHAIRPERSON | 4.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MYRNA JARGOWSKY | ||||||||
| VICE CHAIRPERSON | 2.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BROWN | ||||||||
| TREASURER | 3.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN B GILLETTE | ||||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NEIL CALMAN MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP COOMBE III | ||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| CHUCK DAVIDSON | ||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID EIKSZTA | ||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIE C LONSTEIN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| STEFAN RAU MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN KELLEY | ||||||||
| PRESIDENT & CEO | 36.00 | 5.00 | Yes (X) | Yes (X) | $361,774 | $0 | $22,050 | |
| BOB RUE | ||||||||
| CFO | 36.00 | 5.00 | Yes (X) | $146,399 | $0 | $31,860 | ||
| CINDY RACCOSTA VP | ||||||||
| CHIEF CLINICAL OFFICER THRU 12/1/17 | 36.00 | $151,144 | $0 | $30,162 | Yes (X) | |||
| ANN MARIE GUNTLOW | ||||||||
| CHIEF NURSING OFFICER THRU 10/13/17 | 36.00 | $126,604 | $0 | $26,058 | Yes (X) | |||
| MICHAEL STEARNS | ||||||||
| DIRECTOR OF PHARMACY | 36.00 | $126,158 | $0 | $24,906 | Yes (X) | |||
| ASHIMA BUTLER | ||||||||
| VP & CHIEF OPERATING OFFICER | 36.00 | $121,789 | $0 | $30,906 | Yes (X) | |||
| THERESA AVERSANO DIR OF | ||||||||
| REHABILITATION SERVICES & CARDIAC REHAB | 40.00 | $119,781 | $0 | $24,906 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,153,649 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,848 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONSTABLE CUSTODIAL SERVICES INC | |||||
| PO BOX 1115 | LIBERTY | NY | 12754 | CUSTODIAL SERVICES | $323,500 |
| LAB CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | LAB SERVICES | $226,213 |
| MEDHOST DIRECT | |||||
| 2739 MOMENTUM PLACE | CHICAGO | IL | 60689 | NETWORK PROVIDER | $216,030 |
| EMERGENCY MEDICAL ASSOCIATION OF NY | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PHYSICIAN SERVICES | $211,667 |
| THE INSTITUTE FOR FAMILY HEALTH | |||||
| 2006 MADISON AVENUE | NEW YORK | NY | 10035 | PHYSICIAN SERVICES | $128,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $769,485 | GovernmentGrantsAmt |
| All Other Contributions | $72,961 | AllOtherContributionsAmt |
| Total Contributions | $842,446 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $18,089,423 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,089,423 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,089,423 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,946 | TotalRevenueColumnAmt |
| Exclusion | $66,946 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,035 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,060 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$12,025 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,025 | TotalRevenueColumnAmt |
| Exclusion | -$12,025 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,933,368 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,867,156 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,212 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,212 | TotalRevenueColumnAmt |
| Exclusion | $66,212 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEANINGFUL USE REVENUE | 900099 | $150,900 | $150,900 |
| CAFETERIA INCOME | 900099 | $55,864 | $55,864 |
| INSURANCE SETTLEMENT | 900099 | $53,744 | $53,744 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,872 | TotalRevenueColumnAmt |
| Exclusion | $70,872 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $331,380 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,384,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,089,423 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $452,513 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,083 | TotalAmt |
| Program Services | $455,287 | ProgramServicesAmt |
| Management And General | $106,796 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,753,962 | TotalAmt |
| Program Services | $7,085,431 | ProgramServicesAmt |
| Management And General | $1,668,531 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,513 | TotalAmt |
| Program Services | $33,626 | ProgramServicesAmt |
| Management And General | $7,887 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126,977 | TotalAmt |
| Program Services | $912,851 | ProgramServicesAmt |
| Management And General | $214,126 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,163 | TotalAmt |
| Program Services | $691,872 | ProgramServicesAmt |
| Management And General | $162,291 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,979 | TotalAmt |
| Program Services | $14,563 | ProgramServicesAmt |
| Management And General | $3,416 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,553 | TotalAmt |
| Program Services | $66,868 | ProgramServicesAmt |
| Management And General | $15,685 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,038 | TotalAmt |
| Management And General | $6,038 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,455 | TotalAmt |
| Program Services | $274,959 | ProgramServicesAmt |
| Management And General | $64,496 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,363 | TotalAmt |
| Program Services | $50,514 | ProgramServicesAmt |
| Management And General | $11,849 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,003,474 | TotalAmt |
| Program Services | $836,932 | ProgramServicesAmt |
| Management And General | $166,542 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,556 | TotalAmt |
| Program Services | $188,353 | ProgramServicesAmt |
| Management And General | $45,203 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,387 | TotalAmt |
| Program Services | $73,213 | ProgramServicesAmt |
| Management And General | $17,174 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,545 | TotalAmt |
| Program Services | $11,781 | ProgramServicesAmt |
| Management And General | $2,764 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,182 | TotalAmt |
| Program Services | $820,444 | ProgramServicesAmt |
| Management And General | $193,738 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,459 | TotalAmt |
| Program Services | $241,752 | ProgramServicesAmt |
| Management And General | $56,707 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED & PURCHASED | $1,814,870 | $1,468,663 | $346,207 |
| BAD DEBTS | $1,693,226 | $1,371,513 | $321,713 |
| PRESCRIPTION DRUGS | $501,155 | $405,936 | $95,219 |
| FOOD | $181,124 | $146,710 | $34,414 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,688 | TotalAmt |
| Program Services | $105,634 | ProgramServicesAmt |
| Management And General | $25,054 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,822,752 | TotalAmt |
| Program Services | $15,256,902 | ProgramServicesAmt |
| Management And General | $3,565,850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,175,642 | BOYAmt |
| EOY | $448,772 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,252,867 | BOYAmt |
| EOY | $2,910,189 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,781,667 | BOYAmt |
| EOY | $2,057,139 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,040 | BOYAmt |
| EOY | $107,171 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,808 | BOYAmt |
| EOY | $286,478 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,999,646 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,593,282 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,932,796 | BOYAmt |
| EOY | $9,406,364 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,578,215 | BOYAmt |
| EOY | $4,047,903 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,112,874 | BOYAmt |
| EOY | $1,664,289 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,235,909 | BOYAmt |
| EOY | $20,928,305 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,938,336 | BOYAmt |
| EOY | $2,003,174 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $669,264 | BOYAmt |
| EOY | $518,364 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,268 | BOYAmt |
| EOY | $142,747 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,372,846 | BOYAmt |
| EOY | $3,228,507 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,325,714 | BOYAmt |
| EOY | $5,892,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,185,354 | BOYAmt |
| EOY | $14,213,290 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $724,841 | BOYAmt |
| EOY | $822,223 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,910,195 | BOYAmt |
| EOY | $15,035,513 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,235,909 | BOYAmt |
| EOY | $20,928,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $561,630 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $495,878 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $67,810 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,038 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,038 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | Yes (1) | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HEALTHCARE ASSOCIATION OF NYS MEMBERSHIP DUES THAT IS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,572,365 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,021,409 | DepreciationAmt |
| Book Value | $5,550,956 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,606,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,424,907 | DepreciationAmt |
| Book Value | $3,181,880 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $820,494 | OtherCostOrOtherBasisAmt |
| Depreciation | $146,966 | DepreciationAmt |
| Book Value | $673,528 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,406,364 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION | $815,578 |
| INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES | $125,043 |
| OTHER RECEIVABLE | $477,668 |
| INSURANCE RECOVERY RECEIVABLE | $246,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,664,289 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR LIABILITY | $2,982,507 |
| INSURANCE CLAIM LIABILITY | $246,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,228,507 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,195,864 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $495,878 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $47,060 | OtherRevenueAmt |
| Revenue Not Reported | $542,938 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,652,926 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,731,456 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,731,456 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,384,382 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,169,210 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $77,914 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $77,914 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,091,296 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,731,456 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,731,456 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,822,752 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL RECOGNIZES THE EFFECTS OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2014. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES REPORTED ON PART VIII, LINE 6B 47,060. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT 1,693,226. RECLASS OF GRANT INCOME 38,230. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES REPORTED ON PART VIII, LINE 6B 47,060. EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 15,854. EQUITY TRANSFER 15,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT 1,693,226. RECLASS OF GRANT INCOME 38,230. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,034,146 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,034,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,406,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,099,981 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,306,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12250 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,854 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,548,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,099,981 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,448,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18310 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,050,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,778,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,272,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06760 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,050,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,778,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,272,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06760 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,599,542 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,878,189 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,721,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $736,680 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $154,530 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,579,106 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,545,205 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $33,901 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ELLENVILLEREGIONAL.ORG | WebsiteAddressTxt |
| State License | 5526700C | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, PAGE 8 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WESTCHESTER-ELLENVILLE HOSPITAL, INC. | PART V, SECTION B, LINE 5: TO ENGAGE THE COMMUNITY IN THE SELECTION OF HEALTH PRIORITIES FOR 2016 - 2018, THE ULSTER COUNTY DEPARTMENT OF HEALTH (UCDOH) TOOK THE LEAD, WITH PARTNERS HEALTHALLIANCE OF THE HUDSON VALLEY AND ELLENVILLE REGIONAL HOSPITAL, IN THE ORGANIZATION AND EXECUTION OF A COUNTY-WIDE COMMUNITY HEALTH ASSESSMENT (CHA) AS UCDOH DID IN 2013. A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS USED TO CONFIRM EXISTING PRIORITIES AND TO HELP DEVELOP NEW EVIDENCE-BASED STRATEGIES. AVAILABLE IN BOTH ENGLISH AND SPANISH FROM JULY THROUGH SEPTEMBER 2016 IN PRINT AND ELECTRONIC FORMATS, IT WAS WIDELY DISTRIBUTED THROUGHOUT ULSTER COUNTY WITH PARTICULAR EFFORTS MADE TO REACH LOW-INCOME, MINORITY AND CHRONICALLY ILL COMMUNITY MEMBERS. MORE THAN 600 COMPLETED SURVEYS WERE COLLECTED AND ANALYZED.ADDITIONALLY, THE HEALTHY ULSTER COUNCIL, A BROAD-BASED COALITION FORMED BY REPRESENTATIVES FROM A VARIETY OF ORGANIZATIONS AND AGENCIES IN 2010, HAS BEEN ONGOING IN ITS WORK OF FOCUSING ON HEALTH PROBLEMS IN ULSTER COUNTY AND WAYS TO IMPROVE HEALTH OUTCOMES. REGULAR MEETINGS OF THE COALITION, ALONG WITH PRESENTATIONS AND DISCUSSIONS, HAVE KEPT THE LARGER COMMUNITY, INCLUDING ELLENVILLE AND THE TOWN OF WARWARSING, INVOLVED IN THE PROCESS OF TRACKING HEALTH CONCERNS AND SOLUTIONS. |
| WESTCHESTER-ELLENVILLE HOSPITAL, INC. | PART V, SECTION B, LINE 6B: 1) HEALTH ALLIANCE OF THE HUDSON VALLEY2) ULSTER COUNTY DEPARTMENT OF HEALTH |
| WESTCHESTER-ELLENVILLE HOSPITAL, INC. | PART V, SECTION B, LINE 11: ERH COLLABORATES WITH THE IFH TO IMPROVE BLOOD SUGAR, LIPID AND HYPERTENSION LEVELS IN PATIENTS WITH DIABETES AND PRE-DIABETES IN AN OUTPATIENT SETTING, FOCUSING ON IMPROVED SELF-MANAGEMENT AND ADHERENCE, HEALTHY EATING AND INCREASED PHYSICAL ACTIVITY. ADULT ERH EMERGENCY DEPARTMENT PATIENTS PRESENTING WITH SYMPTOMS OF DIABETES OR PRE-DIABETES, SUCH AS AN ELEVATED BLOOD SUGAR, OR HYPERGLYCEMIA ARE REFERRED TO IFH'S ON SITE CERTIFIED DIABETES EDUCATORS AND HEALTH COACHES (WITH PATIENT'S PERMISSION) UPON DISCHARGE. PATIENTS WITH DIABETES THAT ARE NOT PATIENTS OF THE IFH ARE INVITED TO PARTICIPATE IN THE EVIDENCE-BASED STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM. PATIENTS OF IFH, OR PATIENTS WHO HAVE NO PRIMARY CARE PROVIDER, WITH DIABETES ARE OFFERED AN APPOINTMENT WITH A PRIMARY CARE PROVIDER AND A DIABETES EDUCATOR. ALL PATIENTS WITH PRE-DIABETES ARE INVITED TO PARTICIPATE IN THE NATIONAL DIABETES PREVENTION PROGRAM, A CDC EVIDENCE-BASED WORKSHOP. IN ADDITION, EMERGENCY DEPARTMENT TESTING, SUCH AS BLOOD WORK AND EKG RESULTS, ARE SENT TO IFH TO ASSIST IN THE CONTINUITY OF CARE. FOR ALL OTHER PATIENTS WITH LONG TERM ILLNESS, A REFERRAL TO THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS (CDSMP) IS OFFERED. IN ADDITION, ALL PATIENTS WITH ELEVATED GLUCOSE LEVELS THAT DO NOT HAVE DIABETES ARE INVITED TO PARTICIPATE IN THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP). AS A WAY TO ADDRESS THE ONGOING MENTAL HEALTH CONDITIONS FACING OUR COMMUNITY, ERH COLLABORATES WITH IFH ON REFERRALS FROM OUR EMERGENCY DEPARTMENT FOR MENTAL HEALTH COUNSELING AND TREATMENT. ERH EMERGENCY DEPARTMENT CLINICIANS MAKE A DIRECT REFERRAL TO CLINICIANS AT IFH. IFH'S PSYCHO-SOCIAL STAFF, WHO ARE AVAILABLE 24-HOURS A DAY, EVALUATE PATIENTS IDENTIFIED AND REFERRED BY EMERGENCY ROOM STAFF. THE EVALUATION IS COMPLETED BY A LICENSED SOCIAL WORKER AND/OR PSYCHIATRIC PROVIDER AND CONSISTS OF A BIO-PSYCHOSOCIAL ASSESSMENT THAT LOOKS AT A PATIENT'S PSYCHIATRIC HISTORY, RISK FACTORS, STRENGTHS, TREATMENT HISTORY AND OTHER PSYCHOSOCIAL STRESSORS AND CURRENT SITUATION. THE PSYCHOSOCIAL STAFF AT IFH IS TRAINED TO PROVIDE EVIDENCE BASED TREATMENT FOR DEPRESSION AND HAVE BEEN TRAINED IN PROBLEM SOLVING TREATMENT IN PRIMARY CARE (PST-PC), BEHAVIORAL ACTIVATION (BA) AND MOTIVATIONAL INTERVIEWING (MI). THESE SHORT TERM EVIDENCE BASED TREATMENTS ARE PROVIDED TO PATIENTS SEEKING INDIVIDUAL TREATMENT. ADDITIONALLY, WELLNESS SELF- MANAGEMENT (WSM) GROUPS ARE OFFERED TO PATIENTS WHERE GROUP TREATMENT WOULD BE BENEFICIAL. IFH ALSO HAS BEHAVIORAL HEALTH PROVIDERS WHO ARE TRAINED TO TREAT PATIENTS WITH CO-OCCURRING DEPRESSION AND ADDICTION DISORDERS. |
| PART V, LINE 7, CHNA REPORT WEBSITE: | HTTPS://ULSTERCOUNTYNY.GOV/SITES/DEFAULT/FILES/ULSTER%20CHA%20CHIP%202016-18%20TO%20NYS.PDF |
| PART V, LINE 10, IMPLEMENTATION STRATEGY WEBSITE: | HTTP://WWW.ELLENVILLEREGIONAL.ORG/WP-CONTENT/UPLOADS/ELLENVILLE-REGIONAL-HOSPITAL-COMMUNITY-SERVICE-PLAN-2016-2018.PDF |
| PART V, SECTION B, LINE 16A: | HTTP://WWW.ELLENVILLEREGIONAL.ORG/2018-ERH-SUMMARY-AND-ENGLISH-APP-WITH-INSTRUCTIONS-ENGLISH/HTTP://WWW.ELLENVILLEREGIONAL.ORG/2018-ERH-POLICY-SUMMARY-AND-FA-APPSPANISH/ |
| PART V, SECTION B, LINE 16B&C: | HTTP://WWW.ELLENVILLEREGIONAL.ORG/2018-ERH-SUMMARY-AND-ENGLISH-APP-WITH-INSTRUCTIONS-ENGLISH/HTTP://WWW.ELLENVILLEREGIONAL.ORG/2018-ERH-POLICY-SUMMARY-AND-FA-APPSPANISH/ |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF ELEVEN MEMBERS; TEN OF THESE MEMBERS ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. ELLENVILLE REGIONAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED LICENSED MEDICAL PROVIDERS IN OUR COMMUNITY, FOR ALL OF OUR DEPARTMENTS. ERH HAS PARTNERED WITH CATSKILL HUDSON AREA HEALTH EDUCATION CENTER AND THE INSTITUTE FOR FAMILY HEALTH IN AN EFFORT TO RECRUIT PRIMARY CARE PHYSICIANS. ELLENVILLE REGIONAL HOSPITAL APPLIES ANY SURPLUS FUNDS TO IMPROVING THE QUALITY OF CARE FOR ALL PATIENTS. |
| PART III, LINE 2: | THE COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE FOR FINANCIAL ASSISTANCE DISCOUNT. |
| SCHEDULE H, PART II: | ELLENVILLE REGIONAL HOSPITAL IS A MEMBER OF THE WAWARSING COUNCIL OF AGENCIES, AN INTER-AGENCY WHOSE MISSION IS TO WORK IN PARTNERSHIP WITH ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS BY IDENTIFYING AND ADDRESSING GAPS IN SERVICES, PROVIDING INFORMATION AND EDUCATION, AND BRINGING SERVICES TOGETHER FOR THE WAWARSING/ELLENVILLE COMMUNITY. AS A MEMBER OF THE COUNCIL, WE HELP TO PLAN AND IMPLEMENT COMMUNITY PROJECTS PRESENTED BY THE COUNCIL. FOR EXAMPLE, THE WAWARSING CARES PROJECT, FREE TO THE COMMUNITY, FOCUSES ON VARIOUS GROUPS WITHIN THE COMMUNITY, SUCH AS WAWARSING CARES FOR WOMEN AND WAWARSING CARES FOR TEENS. THESE EVENTS PROMOTE WELLNESS, AND PROVIDE ACCESS TO HEALTH AND SOCIAL SERVICES FOR THE TARGET GROUP. OTHER PROJECTS THAT WE SHARE IN INCLUDE A FREE COMMUNITY RESOURCE GUIDE BOOKMARK, WHICH PROVIDES A LISTING AND CONTACT INFORMATION OF ALL MEMBERS OF THE COUNCIL AND A FREE COMMUNITY BABY SHOWER WHERE BABY ITEMS AND INFORMATION ARE AVAILABLE FOR FREE TO THE PUBLIC. THE COUNCIL CONTINUES TO MEET ON A MONTHLY BASIS OR MORE OFTEN IF A PROJECT IS BEING UNDERTAKEN. MEMBERS OF THE COUNCIL ALSO HOST A WEEKLY TV SHOW ON A LOCAL CABLE ACCESS CHANNEL THROUGH THE ELLENVILLE CENTRAL SCHOOL MEDIA DEPARTMENT.WE ALSO WORK IN CONCERT WITH THE INSTITUTE FOR FAMILY HEALTH (IFH), A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ON THE HOSPITAL'S CAMPUS, ON SUCH WELLNESS INITIATIVES AS OUR ANNUAL HARVEST HEALTH FAIR. THE HARVEST HEALTH FAIR IS A FREE COMMUNITY HEALTH EVENT LOCATED ON OUR CAMPUS WHICH PROVIDES HEALTH SCREENINGS, SUCH AS BLOOD PRESSURE, GLUCOSE, AND MENTAL HEALTH SCREENINGS FOR ADULTS. CHILDREN'S RESOURCES INCLUDE ASTHMA AWARENESS ACTIVITIES. DIABETES EDUCATION AND PHARMACY CONSULTATIONS ARE ALSO AVAILABLE. IN ADDITION, WE COLLABORATE WITH THE ELLENVILLE WAWARSING YOUTH COMMISSION, THE ELLENVILLE POLICE DEPARTMENT, ELLENVILLE AND NAPANOCH FIRE DEPARTMENTS, THE ULSTER COUNTY SHERIFF'S DEPARTMENT AND THE ELLENVILLE RESCUE SQUAD TO PROVIDE FREE YOUTH ACTIVITIES, FREE CAR SAFETY SEAT CHECKS, AND FREE BIKE HELMETS AT THE FAIR. MEMBERS OF THE WAWARSING COUNCIL ARE ALSO INVITED TO PARTICIPATE AND SHARE THEIR RESOURCES WITH THE ATTENDEES. APPROXIMATELY 150 ADULTS AND CHILDREN ATTEND THE FAIR.IN OUR EFFORTS TO HELP TO REDUCE AND PREVENT CHRONIC DISEASE, INCLUDING DIABETES AND HYPERTENSION, THE HOSPITAL PHARMACIST, REGISTERED DIETICIAN AND OUTPATIENT CLINICAL STAFF CONTINUE OUTREACH EFFORTS INCLUDING FREE MONTHLY BLOOD PRESSURE AND GLUCOSE CLINICS FOR THE COMMUNITY AND A FLU SHOT CLINIC. WE ALSO PARTICIPATE IN OR HOST VARIOUS HEALTH FAIRS THROUGHOUT THE YEAR. IN ADDITION, WE PROVIDE A LOVE YOUR HEART DAY EVENT AROUND VALENTINE'S DAY WHICH INCLUDES A FREE ROUNDTABLE DISCUSSION WITH OUR CARDIOLOGIST OVER LUNCH AND PRESENTATIONS BY OUR DIRECTOR OF REHAB AND REGISTERED DIETITIAN. FREE BLOOD PRESSURE AND GLUCOSE SCREENINGS ARE PROVIDED, AS WELL AS WELLNESS BROCHURES, ETC. IN 2017, WE HAD 15 ATTENDEES AT THE EVENT.OUR EMERGENCY DEPARTMENT PROVIDERS REFER PATIENTS WHO ARE DIABETIC OR PRE-DIABETIC, AND DO NOT HAVE A PRIMARY CARE PROVIDER, TO THE IFH FOR CARE. PATIENTS SEEN IN THE EMERGENCY DEPARTMENT AND WHO MEET THE CRITERIA, ARE REFERRED TO THE MENTAL HEALTH STAFF AT IFH, WHO PROVIDE A WARM HANDOFF FOR PATIENTS WHO SCREENED POSITIVE FOR DEPRESSION OR SUICIDAL INDICATORS.ERH CONTINUES TO WORK COLLABORATIVELY WITH THE WAWARSING COUNCIL OF AGENCIES AND ULSTER COUNTY DEPARTMENT OF HEALTH TO ADDRESS TEEN PREGNANCY, TEEN SEXUAL ACTIVITY AND SEX EDUCATION. OUR PARTNER, THE IFH, SITUATED ON OUR CAMPUS, OFFERS TEEN SERVICES. ERH PARTICIPATES IN THE WESTCHESTER DSRIP AND OUR PROJECT FOCUSES ON REDUCING THE USE OF OPIOIDS BY CHRONIC PAIN PATIENTS SEEN IN OUR EMERGENCY DEPARTMENT. THE LEADERSHIP STAFF OF ELLENVILLE REGIONAL HOSPITAL AND THE INSTITUTE FOR FAMILY HEALTH DEVELOPED NEW AND INNOVATIVE PROTOCOLS TO ADDRESS CHRONIC PAIN PATIENTS WHO PRESENT OFTEN IN THE EMERGENCY DEPARTMENT SEEKING PAIN RELIEF. CHRONIC PAIN PATIENTS IN MANY CASES HAVE DEVELOPED ADDICTION TO OPIATE BASED PAIN RELIEVERS. THE MODEL INCLUDES A COMPLETE REDESIGN OF TREATMENT PROTOCOLS IN THE EMERGENCY DEPARTMENT UTILIZING NON-ADDICTIVE PAIN MEDICATIONS. THE RESULT HAS BEEN A DRAMATIC REDUCTION OF OPIATE PRESCRIBING IN THE EMERGENCY DEPARTMENT. THE PROTOCOL ALSO INCLUDES A "WARM" HANDOFF/REFERRAL TO A PATIENT CARE NAVIGATOR WHO HELPS THE PATIENT GET INTO PRIMARY CARE AT THE INSTITUTE OR OTHER COMMUNITY BASED PROVIDERS. THE PRIMARY CARE TREATMENT PLAN INCLUDES FOUR PATHWAYS TO ADDRESS:1. MEDICAL ISSUES WITH A FOCUS ON TRANSITIONING AWAY FROM OPIATES2. A PSYCHIATRIC PATHWAY TO ADDRESS ADDICTION3. AN INTERVENTION PATHWAY TO ADDRESS PAIN AT ITS SOURCE4. A PSYCHO/SOCIAL PATHWAY TO ADDRESS THE NUMEROUS OTHER PROBLEMS THAT PATIENTS WITH CHRONIC PAIN AND ADDICTION SUFFER WITH. THE RESULTS OF THE OPIATE REDUCTION MAX PROJECT HAVE BEEN SIGNIFICANT REDUCTIONS IN ADMINISTRATION OF OPIATES IN THE EMERGENCY DEPARTMENT, 88%, AND A SUBSTANTIAL REDUCTION OF EMERGENCY DEPARTMENT VISITS FOR THIS POPULATION. IN ADDITION, THERE HAS BEEN SUCCESS IN TRANSITIONING PATIENTS TO SAFER PAIN REGIMENS AND IMPROVED HEALTH.ERH CONTINUES TO OFFER SERVICES FOR INPATIENT AND OUTPATIENT MEDICATION RECONCILIATION AND EDUCATION REGARDING SAFE USE OF MEDICATIONS. ERH HAS A ROBUST SYSTEM TO IDENTIFY AND REPORT ANY MEDICATION ERRORS AND NEAR MISSES. SOURCES AND PROBABLE CAUSES OF THE ABOVE ARE IDENTIFIED THROUGH A FOCUSED REVIEW BY AN INTERDISCIPLINARY COMMITTEE. ERH HAS BEEN ABLE TO ESTABLISH A SEAMLESS PROCESS OF MEDICATION MANAGEMENT FOR PATIENTS TRANSITIONING FROM THE HOSPITAL TO ANOTHER CARE SETTING WITHIN OR OUTSIDE THE HOSPITAL. PROVIDERS USE OUR MEDICATION RECONCILIATION FORMS AS A TRUSTED SOURCE WITH UP TO DATE MEDICATIONS FOR THEIR PATIENTS. PLEASE SEE BELOW FOR PROGRESS.WE CONTINUE TO ASSIST WITH THE CONTINUING EDUCATION NEEDS OF OUR EMS COMMUNITY, INCLUDING OFFERING BLS, ACLS AND PALS COURSES TO THEM AT NO CHARGE AND CME CLASSES IN CONCERT WITH THE HUDSON VALLEY REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE. IN FEBRUARY 2017, WE IMPLEMENTED A NEW HOUSE-WIDE ELECTRONIC HEALTH RECORDS SYSTEM TO HELP US DELIVER HIGH QUALITY CARE TO OUR PATIENTS. WE HAVE ALSO PARTNERED WITH THE IFH TO IMPLEMENT EPICCARE LINK, A SECURE PROGRAM THAT PERMITS US TO SHARE CRITICAL MEDICAL INFORMATION FOR MUTUAL PATIENTS. THIS NEW COLLABORATION MEANS THAT AUTHORIZED EMERGENCY DEPARTMENT STAFF CAN ACCESS PATIENTS' MEDICAL RECORDS FROM THE ELLENVILLE FAMILY HEALTH CENTER, OPERATED BY THE INSTITUTE, TO VIEW THEIR CURRENT MEDICATION LIST, PRIOR MEDICAL HISTORY AND KNOWN ALLERGIES. IN ADDITION, THE ED STAFF CAN SCAN THE PATIENT'S LABORATORY, EKG AND RADIOLOGY RESULTS INTO THE INSTITUTE'S PATIENT'S ELECTRONIC MEDICAL RECORD. WE ARE THE FIRST EMERGENCY DEPARTMENT IN THE COUNTRY TO WORK COLLABORATIVELY WITH PRIMARY CARE PROVIDERS UNDER THE EPICCARE LINK PROGRAM, PROVIDING PRIMARY CARE PROVIDERS AND HOSPITAL STAFF WITH TOOLS TO ENHANCE THE QUALITY AND SAFETY OF CARE FOR OUR MUTUAL PATIENTS. |
| PART III, LINE 4: | AFS FOOTNOTE: "PATIENT ACCOUNTS RECEIVABLE FROM THIRD-PARTY PROGRAMS FOR WHICH THE HOSPITAL RECEIVES PAYMENT UNDER VARIOUS REIMBURSEMENT FORMULAE OR NEGOTIATED RATES ARE STATED AT THE ESTIMATED NET AMOUNTS RECEIVABLE FROM SUCH PAYORS, WHICH ARE GENERALLY LESS THAN THE HOSPITAL'S ESTABLISHED BILLING RATES. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE AND RECOVERIES ON SUCH ACCOUNTS ARE RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE, AND MEDICAID HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS." BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENT IS $1,693,226. THE COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS TO DETERMINE THE AMOUNT REPORTED IN PART III, LINE 2. |
| PART III, LINE 8: | THE AMOUNT ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NYS INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B. |
| PART VI, LINE 2: | VARIOUS METHODS ARE USED BY ELLENVILLE REGIONAL HOSPITAL TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. ELLENVILLE REGIONAL HOSPITAL SEEKS THE VIEWS OF COMMUNITY MEMBERS TO GAIN THEIR THOUGHTS REGARDING THE HEALTH CARE IN THEIR COMMUNITY AND GAIN FEEDBACK REGARDING ERH SERVICES. THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF ELEVEN MEMBERS; TEN OF THESE MEMBERS ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. COMMUNITY FEEDBACK IS A TOPIC OF DISCUSSION AT MOST BOARD MEETINGS. THE PRESIDENT AND CEO OF ERH, STEVEN L. KELLEY, IS A PROMINENT MEMBER OF THE COMMUNITY. MR. KELLEY AND OTHER MEMBERS OF THE ADMINISTRATIVE TEAM BELONG TO NUMEROUS ORGANIZATIONS AND ARE ACTIVE PARTICIPANTS. PATIENT SATISFACTION QUESTIONNAIRES ARE DONE BY ALL CLINICAL DEPARTMENTS. THESE QUESTIONNAIRES PROVIDE VALUABLE FEEDBACK FROM THE POPULATION THAT UTILIZES THE HOSPITAL SERVICES. IN ADDITION, STATISTICAL DATA, FROM STATE AND COUNTY DATABASES, IS CONTINUALLY ANALYZED LOOKING FOR TRENDS AND CHANGES IN DEMOGRAPHIC MAKEUP OF OUR PATIENTS. WE ALSO MONITOR THE TOP TEN INPATIENT DIAGNOSIS ANNUALLY SO WE CAN PLAN OUR SERVICES AROUND THOSE DISEASES WHICH ARE MOST PREVALENT IN OUR LOCAL COMMUNITY. ERH WORKS CLOSELY WITH AN FQHC ON OUR CAMPUS. THE CEO OF ERH SITS ON THEIR BOARD OF DIRECTORS AND THE CEO OF THE FQHC SITS ON THE ERH BOARD. THIS COLLABORATIVE WORKING ARRANGEMENT HAS BEEN INVALUABLE IN ASSESSING THE NEEDS OF THE MEDICAL PROVIDERS IN THE COMMUNITY AS WELL AS THE PATIENTS IN THE COMMUNITY. AS A MEMBER OF THE WESTCHESTER DSRIP, WE ALSO PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART VI, LINE 3: | BY VIRTUE OF ITS EXEMPTION FROM FEDERAL AND STATE TAXES AND AS PART OF THE HOSPITAL'S MISSION TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY, ERH PROVIDES CARE TO ALL PATIENTS IN NEED WITHOUT REGARD FOR THEIR ABILITY TO PAY. ELLENVILLE REGIONAL HOSPITAL (ERH) INFORMS ITS PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE IN SEVERAL WAYS. SIGNS ARE POSTED IN REGISTRATION AND INFORMATION ON FINANCIAL ASSISTANCE IS LOCATED ON OUR WEBSITE. THESE SIGNS DIRECT THE PATIENTS TO SPEAK WITH DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVES. ALL PATIENTS WITHOUT INSURANCE ARE GIVEN A PACKET THAT INCLUDES A CHARITY CARE APPLICATION, AND ARE ALSO AVAILABLE UPON REQUEST BY THE PATIENT. PATIENT STATEMENTS ALSO INCLUDE CONTACT INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, MEDICAID APPLICATIONS ARE MADE AVAILABLE AT THE TIME OF REGISTRATION. |
| PART VI, LINE 4: | ELLENVILLE REGIONAL HOSPITAL'S PRIMARY SERVICE AREA HAS REMAINED UNCHANGED FOR 2017 PLANNING PURPOSES. ERH IS A NON-PROFIT SOLE PROVIDER HOSPITAL FOR ELLENVILLE AND ITS SURROUNDING COMMUNITIES LOCATED BETWEEN SHAWANGUNK RIDGE AND THE CATSKILL MOUNTAIN RANGE. THESE COMMUNITIES INCLUDE ALL OR PARTS OF THE TOWNS OF WAWARSING, ROCHESTER, PINE BUSH, MAMAKATING, NEVERSINK, MARBLETOWN AND FALLSBURG/WOODBOURNE. ERH IS GEOGRAPHICALLY ISOLATED WITH ITS POPULATION CENTER CONSISTING OF 47% NON-WHITE POPULATION AND A 20% POVERTY LEVEL ACCORDING TO THE US CENSUS BUREAU. THE NEAREST HOSPITAL IS OVER 25 MILES AWAY ON MOSTLY SECONDARY ROADS AND, DUE TO THE RURAL GEOGRAPHICAL ISOLATION; ERH SERVES A CRUCIAL NEED FOR THE COMMUNITY. IT IS ALSO A TEACHING HOSPITAL WITH EDUCATIONAL PROGRAMS FOR RESIDENTS, MEDICAL STUDENTS, PHARMACISTS, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, RADIOLOGY TECHNICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, PHYSICIAN ASSISTANTS, PHLEBOTOMISTS, HIGH SCHOOL NEW VISION STUDENTS AND MORE.ERH WAS GRANTED CRITICAL ACCESS HOSPITAL (CAH) STATUS IN 2004 AND HAS 25 INPATIENT BEDS. THESE BEDS CAN BE USED FOR EITHER ACUTE CARE OR SWING BUT MAY NOT EXCEED 25. THIS IS EXTREMELY IMPORTANT SINCE THE HOSPITAL IS LOCATED IN BOTH A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA). NEEDLESS TO SAY, THERE WOULD BE A SIGNIFICANT PROBLEM WITH UNINSURED AND UNDER INSURED HAVING ACCESS TO QUALITY HEALTHCARE WITHOUT THE PRESENCE OF ERH.ACCORDING TO THE 2010 CENSUS, THE TOWN OF WAWARSING HAD 13,157 PEOPLE, WITH A MEDIAN AGE OF 40.1, 11,091 HOUSEHOLDS, AND 2,946 FAMILIES RESIDING IN THE TOWN, WHICH INCLUDES THE VILLAGE OF ELLENVILLE. THE JULY 2015 POPULATION ESTIMATE DROPPED TO 12,925. THERE WERE 4,509 HOUSEHOLDS OUT OF WHICH 31.9% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 29.7% HOUSEHOLDS WITH INDIVIDUALS AGE 65 OR OLDER. AVERAGE HOUSEHOLD SIZE 2.46 AND AVERAGE FAMILY SIZE 2.96. 6.7% OF THE HOUSEHOLDS WERE DEFINED AS MALE HOUSEHOLDER WITH NO WIFE PRESENT, AND 16% WERE DEFINED AS FEMALE HOUSEHOLDER WITH NO MALE PRESENT. THERE WERE A TOTAL OF 6,211 HOUSING UNITS, WHICH WERE 72.6% OCCUPIED AND 27.4% VACANT. ACCORDING TO THE 2011-2015 AMERICAN COMMUNITY SURVEY, 5-YEAR ESTIMATE, THE RACIAL MAKEUP OF THE TOWN WAS 72.8% WHITE, 12.0% AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 0.9% ASIAN, 7.2% FROM OTHER RACES, AND 6.9% FROM TWO OR MORE RACES. 21.6% OF THE POPULATION WAS HISPANIC OR LATINO OF ANY RACE.ACCORDING TO THE 2010 CENSUS, THERE WERE 4,135 PEOPLE IN THE VILLAGE OF ELLENVILLE (JULY 2015 POPULATION ESTIMATE DECREASED TO 4,081), MEDIAN AGE 35.9, 1,578 HOUSEHOLDS, AND 1,047 FAMILIES RESIDING IN THE VILLAGE. THERE WERE 1,578 HOUSEHOLDS OUT OF WHICH 38.4% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 24.8% HOUSEHOLDS WITH INDIVIDUALS AGE 65 OR OLDER. AVERAGE HOUSEHOLD SIZE 2.58 AND AVERAGE FAMILY SIZE 3.09. 6.1% OF THE HOUSEHOLDS WERE DEFINED AS MALE HOUSEHOLDER WITH NO WIFE PRESENT, AND 21.9% WERE DEFINED AS FEMALE HOUSEHOLDER WITH NO MALE PRESENT. THERE WERE A TOTAL OF 1,845 HOUSING UNITS, WHICH WERE 85.5% OCCUPIED AND 14.5% VACANT. ACCORDING TO THE 2011-2015 AMERICAN COMMUNITY SURVEY, 5-YEAR ESTIMATE, THE RACIAL MAKEUP OF THE VILLAGE WAS 64.4% WHITE, 11.1% AFRICAN AMERICAN, 0% NATIVE AMERICAN, 0% ASIAN, 13.7% FROM OTHER RACES, AND 10.8% FROM TWO OR MORE RACES. 32.9% OF THE POPULATION WAS HISPANIC OR LATINO OF ANY RACE.ERH'S CATCHMENT AREA INCLUDES A VERY LARGE IMPOVERISHED POPULATION. FOR EXAMPLE, ELLENVILLE AND WARWARSING HAVE MEDIAN HOUSEHOLD INCOMES (TOWN $46,603 AND VILLAGE $45,800) THAT ARE SUBSTANTIALLY LOWER THAN THE ULSTER COUNTY MEDIAN HOUSEHOLD INCOME OF $58,592 AND THE NYS MEDIAN HOUSEHOLD INCOME OF $60,850 (CENSUS, 2013).WHEN LOOKING AT THE HEALTH OF THE COMMUNITY IN THE ELLENVILLE/WARWARSING AREA, IT IS IMPORTANT TO NOTE THAT THE ELLENVILLE FAMILY HEALTH CENTER (IFH), A PRIMARY CARE HEALTH CENTER WHICH IS OPERATED BY THE INSTITUTE FOR FAMILY HEALTH, ONE OF THE LARGEST FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN NEW YORK STATE, IS ALSO LOCATED ON THE ERH CAMPUS. THE INSTITUTE IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE FOR ALL. IT STRIVES FOR EXCELLENCE AT EACH OF ITS 26 PRACTICES, WHILE ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE ELLENVILLE IFH OFFERS PRIMARY CARE, MENTAL HEALTH CARE, DENTAL AND SOCIAL WORK SERVICES, ALONG WITH MANY OTHER HEALTH SERVICES FOR PATIENTS OF ALL AGES. AS PART OF A FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTER NETWORK, IT MEETS NATIONAL STANDARDS FOR AFFORDABLE, ACCESSIBLE AND COMPREHENSIVE HEALTH CARE SERVICES. THE CENTER IS ACCREDITED BY THE JOINT COMMISSION AND RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A LEVEL 3 PATIENT-CENTERED MEDICAL HOME, THE HIGHEST RECOGNITION AVAILABLE. THE IFH SEES APPROXIMATELY 3,600 PATIENTS PER YEAR AND OFFERS SAME-DAY APPOINTMENTS.SINCE THE MID 1990'S, THE COMMUNITY HAS LOST OVER 2,000 GOOD PAYING JOBS DUE IN PART TO THE CLOSURE OF TWO MAJOR MANUFACTURING INDUSTRIES AND TO A SIGNIFICANT DECLINE IN THE TOURISM INDUSTRY. THE TOWN AND VILLAGE STRUGGLE WITH THE ISSUES THAT ACCOMPANY POVERTY AND UNEMPLOYMENT IN RURAL AREAS. MAJOR EMPLOYERS THAT CONTINUE TO SUPPORT THE RESIDENTS OF THE REGION ARE THE NYS DEPARTMENT OF CORRECTIONS, ELLENVILLE CENTRAL SCHOOL DISTRICT AND ELLENVILLE REGIONAL HOSPITAL.AN AFFORDABLE SENIOR HOUSING PROJECT, WHICH IS A JOINT VENTURE BETWEEN THE HOSPITAL AND WARWICK PROPERTIES, INC., IS LOCATED ON THE ELLENVILLE REGIONAL HOSPITAL CAMPUS. ALL THREE PHASES OF THE PROJECT REMAIN FULLY OCCUPIED, WITH APPROXIMATELY 156 SENIOR CITIZENS LIVING INDEPENDENTLY IN ONE BEDROOM APARTMENTS. FUNDING WAS SECURED FOR THE PROJECT FROM THE NEW YORK STATE DIVISION OF HOUSING'S COMMUNITY RENEWAL HOUSING TRUST FUND. THE PARTNERSHIP SPONSORING THE HOUSING PROJECT IS DEVELOPING PLANS TO BUILD ADDITIONAL AFFORDABLE HOUSING CLOSE TO THE HOSPITAL, TARGETING SENIORS, SPECIAL NEEDS POPULATIONS AND POSSIBLY RETURNING VETS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN KELLEY | ||||||||||||||
| PRESIDENT & CEO | $315,000 | $0 | $46,000 | $0 | $774 | $0 | $22,050 | $0 | $0 | $0 | $383,824 | $0 | $0 | $0 |
| BOB RUE | ||||||||||||||
| CFO | $130,945 | $0 | $15,000 | $0 | $454 | $0 | $6,954 | $0 | $24,906 | $0 | $178,259 | $0 | $0 | $0 |
| CINDY RACCOSTA VP | ||||||||||||||
| CHIEF CLINICAL OFFICER THRU 12/1/17 | $132,804 | $0 | $0 | $0 | $18,340 | $0 | $7,279 | $0 | $22,883 | $0 | $181,306 | $0 | $0 | $0 |
| ANN MARIE GUNTLOW | ||||||||||||||
| CHIEF NURSING OFFICER THRU 10/13/17 | $101,235 | $0 | $0 | $0 | $25,369 | $0 | $5,303 | $0 | $20,755 | $0 | $152,662 | $0 | $0 | $0 |
| MICHAEL STEARNS | ||||||||||||||
| DIRECTOR OF PHARMACY | $121,169 | $0 | $4,250 | $0 | $739 | $0 | $0 | $0 | $24,906 | $0 | $151,064 | $0 | $0 | $0 |
| ASHIMA BUTLER | ||||||||||||||
| VP & CHIEF OPERATING OFFICER | $108,961 | $0 | $10,000 | $0 | $2,828 | $0 | $6,000 | $0 | $24,906 | $0 | $152,695 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | PURSUANT TO THE TERMS AND CONDITIONS STIPULATED IN MS. CINDY RACCOSTA'S SEVERANCE, ERH PAID A SEVERANCE PAYMENT TO MS. CINDY RACCOSTA IN THE AMOUNT OF $17,830 IN 2017, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT ON HER 2017 FORM W-2 AND REFLECTED ON SCHEDULE J, PART II, COLUMN B(III). PURSUANT TO THE TERMS AND CONDITIONS STIPULATED IN MS. ANN MARIE GUNTLOW'S SEVERANCE, ERH PAID A SEVERANCE PAYMENT TO MS. ANN MARIE GUNTLOW IN THE AMOUNT OF $25,250 IN 2017, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT ON HER 2017 FORM W-2 AND REFLECTED ON SCHEDULE J, PART II, COLUMN B(III). |
| PART I, LINE 7 | STEVEN KELLEY RECEIVED A BONUS OF $46,000 IN 2017 THAT WAS DETERMINED BY THE BOARD'S DISCRETION. BOB RUE, MICHAEL STEARNS, ASHIMA BUTLER AND THERESA AVERSANO ALSO RECEIVED A BONUS IN 2017 THAT WAS BASED ON PERSONAL PERFORMANCE AND THE AMOUNT WAS DETERMINED BY THE CEO. THE BONUS WAS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING "PERSONNEL" OF THE HOSPITAL: MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, "SENIOR MANAGEMENT" (DEFINED TO BE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS), ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN THE HOSPITAL AND A VENDOR. A DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY THE APPLICABLE PERSONNEL STATING IF THEY ARE AWARE OF ANY ACTUAL OR POTENTIAL CONFLICTS. IF DURING THE YEAR, ANY MEMBER OF THE BOARD OF TRUSTEES, MEDICAL STAFF MEMBER OR EMPLOYEE BECOMES AWARE OF A CONFLICT, THEY SHALL PROMPTLY DISCLOSE IN WRITING TO THE ADMINISTRATOR OR PRESIDENT OF THE BOARD OF TRUSTEES ANY ACTUAL OR CONTEMPLATED TRANSACTION WHICH POSES A CONFLICT OF INTEREST. THE REPORT SHALL CONTAIN A STATEMENT OF ALL MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST WHICH CREATES THE POSSIBLE CONFLICT OF INTEREST. THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL BE CONSIDERED BY THE BOARD OF TRUSTEES, WHICH WILL DETERMINE WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL HAVE AN ADVERSE EFFECT ON THE FACILITY. THE BOARD OF TRUSTEES WILL CAUSE NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION MAY BE ALLOWED TO CONTINUE OR SHOULD BE TERMINATED, AND OF ANY OTHER ACTION THAT WILL BE TAKEN BY THE BOARD OF TRUSTEES OR SHOULD BE TAKEN BY THE BOARD MEMBER, MEDICAL STAFF MEMBER OR EMPLOYEE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION COMMITTEE IS PROVIDED AN INDEPENDENT REPORT OF COMPARABLE HOSPITAL SALARY FOR THE CEO. THE COMPENSATION COMMITTEE ALSO REVIEWS VARIOUS PERFORMANCE MEASURES AND OTHER INFORMATION AND ARRIVES AT A SALARY AND BENEFIT PACKAGE FOR THE CEO. COMPENSATION FOR CEO IS DECIDED IN EXECUTIVE SESSION, AND DOCUMENTED IN THE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2017. THE DIRECTOR OF HUMAN RESOURCES OBTAINS SALARY INFORMATION FROM AN INDEPENDENT SOURCE FOR LOCAL COMPARABLE HOSPITALS FOR EACH HIGHER LEVEL POSITION AT THE HOSPITAL. THE INDEPENDENT INFORMATION CONTAINS SALARY LEVELS FOR EACH POSITION AT THE 25TH, 50TH AND 75TH PERCENTILE. THE CEO THEN CONSIDERS THIS INFORMATION AND THE PERFORMANCE FOR EACH OF THESE EMPLOYEES AND ARRIVES AT THE APPROPRIATE SALARY LEVEL. THIS PROCESS WAS LAST UNDERTAKEN IN 2017. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 90,737. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES -7,927. EQUITY TRANSFER -15,000. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 124285612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371562427 | EIN |
| Primary Activities | TO SUPPORT WESTCHESTER-ELLENVILLE HOSPITAL INC. | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ELLENVILLE REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 261411484 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| ELLENVILLE II REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 270754224 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| ELLENVILLE III REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 300649484 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |